浙江省首例人附红细胞体病报告、随访及文献复习

目的附红细胞体病,临床少见,本文报告一例,以引起临床医生的注意。方法对一例附红细胞体病从临床症状、实验室检查、治疗等进行综合分析。结果附红细胞体病的临床特点:(1)间歇发热、乏力、出汗、纳差、体重减轻等中毒症状;(2)贫血、皮疹、黄疸、肝脾肿大、颌下淋巴结大;(3)肝功能检查显示谷丙转氨酶、谷草转氨酶、胆红素升高、球蛋白高于白蛋白;(4)外周血涂片附红细胞体阳性;(5)CT示肝脾肿大,右下肺炎;(6)强力霉素治疗效果满意。结论附红细胞体病临床上少见,详细询问病史和外周血检查附红细胞体,可以作出早期诊断,强力霉素治疗有效。

Reports and follow-up visits and literature reviews of the first case of eperythrozoonosis in human in Zhejiang Province

Objective The report was made to draw attention of the clinicians because Eperythrozoonosis was very rare in clinical. Methods A comprehensive analysis was conducted on a case of eperythrozoonosis based on the clinical symptoms, laboratory tests, and treatments. Results The clinical features of eperythrozoonosis were as follows:(1) toxic symptom such as intermittent fever, fatigue, sweat, anorexia, weight loss, etc.;(2) anemia, rash, jaundice, splenomegaly, submandibular lymph node enlargement;(3) liver function test showed increasing in glutamic-pyruvic transaminase and glutamic oxaloacetic transaminase, bilirubin, and globulin high than albumin;(4)PB blood film showed eperythrozoon was positive;(5)CT showed splenomegaly and right lower pneumonia;(6) Doxycycline can get satisfactory effect of the treatment. Conclusion Eperythrozoonosis is rare in clinical. The early diagnosis can be made by detail case history consultation and peripheral blood testing. Doxycycline is an effective medicine.